An administrator and parent of an emotionally disturbed person responds to articles (EC 151 382-385) by F. Woods, W. Morse, R. Peterson, and W. Rhodes updating Rhodes' predictions about the future of human services. He discusses problems facing special education for severely disturbed children and emphasizes the need for more than empathy in…

Presents data which support the positive contribution of education in (1) stimulating national economic growth, (2) reducing expenditures for human services and decreasing unemployment, and (3) increasing national defense. Considers the impact of education on reducing racial disparities, and presents a cost-benefit model of educational…

A review of 85 patients who received home care for terminal illness showed that a small proportion of patients use a relatively high volume of both in-patient and home care services. Data suggest that there are two dimensions of service utilization: a medical dimension and a social dimension. (Author/RC)

Discusses the critical issue emerging in the implementation of change strategies designed to improve the effectiveness of human service delivery systems. Describes the process by which change was introduced and implemented in a human service organization. Suggestions, theoretical guidelines, and a model are provided for future interventions.…

It is suggested that the developmental phases of program evaluators replicate those of the profession of program evaluation. A trend in program evaluation from program amelioration to program advocacy and ultimately to program accountability is projected. (Author/MH)

Early identification of handicapped rural children is difficult due to the scarcity of rural preschools, medical and human services, and education about the handicapped. This article defines early identification, delineates its four steps and the significant and divergent approaches to it, noting advantages and disadvantages of developmental…

Discusses the need to improve interracial and cross-cultural relationships within therapeutic settings. Suggests strategies counselors can use to communicate more successfully with clients from different racial or ethnic backgrounds who have different values and personal characteristics. (MK)

Combines two major sociological formulations, primary and secondary systems and pattern variables, to create a model for analysis of problems in living. Offers a social system perspective for such analysis to serve as a supplement to intra- or interpersonal models used by human service workers, supervisors, and administrators. (Author)

While mental health center inpatient services will probably remain largely unaffected by diminishing federal grants, this loss of financial support will affect outpatient care. This paper examines how staffing patterns and work-load levels affect the ability to generate fee-for-service income from outpatient services while holding down costs.…

If the proposition is accepted that service agencies occupy unique environments, then single organism research designs (such as ABAB) and multiple baseline designs may provide more valuable information than currently accepted research methodologies. (Author/MH)

The park and recreation profession needs innovative and creative approaches to expand consumer control, not limit it; the voluntary nature of consumer involvement within park and recreation programs and services demands responsive professional practice. (JD)

Provides an overview of rehabilitation in Hawaii and the Pacific Basin. This future perspective includes a description of projected service needs and programs, with an emphasis upon education and training, and required resources. (Author/RK)

Asserts that "from among the multitude of independent variables that affect adjustment, several rather important clusters are relatively closer to existing knowledge and competence bases of mental health people. We need to ask which these are, and how their manipulation might promote more positive mental health outcomes." (Author/JM)

Examines how the child support enforcement program in Alaska has responded to the challenges of distance, weather, and cultural differences through training representatives, making waiting areas more comfortable, conducting random customer evaluation of services, establishing travel hubs in regional offices and meeting with community leaders and…

Service providers (n=63) were interviewed regarding menstrual management decision making for women with intellectual disabilities. The interviews focused on decision-making bases, opinions about decision-making processes, enhancing practical support for the young women and their families, and reviewing staff training and service delivery.…